Individual
DR. MICHONG RAYBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5001 HARDY ST, HATTIESBURG, MS 39402-1308
(601) 268-8103
Mailing address
5001 HARDY ST, HATTIESBURG, MS 39402-1308
(601) 268-8103
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R858790
MS
Other
Enumeration date
04/19/2006
Last updated
08/23/2016
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